Maybe Your Shoulder Hurts Because Your Technique Sucks

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Full Disclosure: I am not a fantastic presser. I’m not going to sit here and attempt to regal you with stories from high-school where I used to drive a Camaro, hookup with the Prom Queen, and bench 405 for reps (you know, before that nasty football injury in the State Championship ruined everything).1

Nope, this is not that kind of story. I recognize the bench press often serves as a litmus test for general level of badassery, but I’ve always considered myself an average presser (personal best of 315 lbs at a bodyweight of sexy). Or, in Dave Tate’s words “I suck.”2

I know how to coach it, however, and have worked with many people in my years at Cressey Sports Performance and now presently, at my studio CORE, to hone their bench press prowess. More commonly, though, is helping people work around a nagging shoulder injury.

NEWSFLASH: Many people complain that the bench press bothers their shoulder.

And while the first inclination is to nix the bench press altogether and jump into corrective exercise mode and start having people blow into balloons or perform any number of thoracic mobility or scapular stability drills to get at the (possible) root of the problem, I feel we sometimes need to pump the brakes.

I mean, I agree that for many people their upper back mobility is atrocious and that it’s likely a very good use of their time to address it. And yes, some people may have gunky tissue quality or less than exemplary scapular stability or kinematics which likely is playing a significant role in their ouchie shoulder.

A thorough assessment or appointment with a manual therapist can hopefully help.

But too, maybe the reason why someone’s shoulder(s) hurt during bench pressing is because their technique makes my eyes bleed?

*shrugs*

Maybe all they need is a little more coaching. As I always say:

“Correct movement can be corrective.”

This is why, when someone’s shoulder hurts during the bench press, my first “tier” to attack is technique. The fitness industry has become too corrective at the expense of coaching our athletes/clients. Taking the 5-10 minutes to address someone’s set-up can make a huge difference in how the movement feels.

Are they driving their upper traps into the bench?

Are they getting their scapulae retracted and depressed?

Do they press the bar up and out of the j-hooks, or do they “guide” the bar out?

Do they “let the bar settle” before they lower it?

Do they “meet the bar with their chest? Or do they allow their shoulders to roll forward?

All of these can be easy-to-fix snafus that may eliminate any shoulder discomfort during the bench press.

Bench Press Set-Up

What happens if you address technique, it’s sound, and the bench press still hurts? You can still implement other pressing variations that can work in the interim while you address the root cause(s).

Decline Bench Press

Think about what’s not happening during a decline bench press as opposed to a flat or incline bench variation?

In a decline there’s less shoulder flexion involved which helps keep many trainees out of the “danger zone” of shoulder pain. So if flat bench pressing hurts you may be able to get away with a decline.

Spoto Press (Invisible Board Press)

A common flaw I see is some people have a hard time “meeting the bar with their chest” and end up having their shoulders roll forward as they lower the barbell.

Popularized by Bench Press Captain America, Eric Spoto (722 lbs, unequipped), the Spoto Press is a variation to combat this where you stop the bar a few inches above the chest, pause, and then press back up.

When In Doubt, Use Dumbbells

When you grab a barbell with a pronated (overhand) grip, you “lock” the humerus in an internally rotated position which can be problematic since it narrows the acromion space.

Using dumbbells alleviates this issue because you can nudge a little more external rotation by adopting a neutral grip. This is a major reason why I prefer DB pressing variations for overhead athletes as opposed to straight bar.

Corrective Pressing Variations That Don’t Feel Corrective

While not always the case, a common thread I see when it comes to shoulder pain is the INability of the shoulder scapulae to be able to move. In order to move big weight you need to respect tension and stability. In some cases, however, the shoulder blades are kinda “stuck” (usually downward rotation) and lack the ability to move through a full ROM.

It’s still vital to be able to access scapular movement for overall shoulder health.

When this happens I prefer to use pressing variations that allow for a little more wiggle room. As in: we allow the shoulder blades a little breathing room. Push-ups will always be my first choice here. But relax, I recognize most would rather swallow a live grenade than read more about push-ups.

Off-Bench DB Press

Scooting a smidge to the side of a bench will allow more scapular movement. What’s nice about this exercise is that it’s also a great core exercise (you have to fire like crazy in order to not fall off the bench) in addition to an awesome way to further engage the glutes. You can’t quite see it with the angle of this video, but I’m also situated further down on the bench so my lower half isn’t resting on it.

Bottoms-Up Press – Off Foam Roller

I snaked this one off Dr. Joel Seedman. Using a KB and holding it in the bottoms-up position is a fantastic way to ramp up rotator cuff activation…you really have to fight to stabilize and keep the joint centrated.

Moreover, by lying on the foam roller the shoulder blades are now able to move to a higher degree. And, much like the off-bench variation above, there’s also a high degree of glute engagement as well as foot and ankle engagement.

And That’s That

Don’t be so quick to bust out the band external rotations and t-spine drills. Addressing technique on the bench press can be every bit as corrective in terms of addressing shoulder pain. Likewise, don’t be so quick to omit all pressing variations. All aren’t equal and it oftentimes is a matter of choosing the right variation for the individual and nice vice versa.

Press on.

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1) I didn’t get my driver’s license until I was 18 after I had graduated high-school. I actually failed my driver’s test not once, but twice. 2) There’s no way in hell the Prom Queen would have given me the time of day. See #1. And finally 3)I didn’t play football. I played for a week in Junior High and was like “no thanks, I’m out.”
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This message has been approved by Joel Seedman. Well, at least I think he would 🙂 Great post Tony. Has fitness professionals we should notice the way the person moves before going down the rabbit hole of corrective exercise.

Jennifer Blake

Great article, Tony! Bench press is one of my favorite lifts to coach and correct. Bookmarking this for reference, and am excited to add in the two correctives to my toolbox. Thanks for all you do!

TonyGentilcore

Thanks JVB! High praise coming from someone I respect a ton in the powerlifting game.

mickel clark

TECHNIQUES ARE THE KEY TOWARD GOOD EXERCISE SESSIONS. ONCE I BUST MY ROTARY CUFF DURING INCLINE BENCH PRESS. IT TOOK ME 6 MONTHS TO GET FULLY RECOVERED

Shehroz Khan

I had some issues with my shoulder while doing bench press with barbell, specially incline press. Then I switched to dumbbells and I feel much better using them.

javi deportes

Because of my job I am very concern about this kind of issues. I find very important to provide this kind of information in order to do sport healthy and safely. Excellent blog! Congratulations!